Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.15 / $8.27 / $11.83	Facility	26	$6.15	$8.27	$11.83
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.20 / $61.97 / $285.97	Facility	TC	$24.20	$61.97	$285.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $31.50 / $92.02	Professional		$21.96	$31.50	$92.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.53 / $6.52 / $23.20	Professional	26	$5.53	$6.52	$23.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.09 / $23.92 / $45.51	Professional	TC	$19.09	$23.92	$45.51
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.13 / $7.13 / $7.13	Facility	26	$7.13	$7.13	$7.13
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $22.25 / $22.25 / $22.25	Facility	TC	$22.25	$22.25	$22.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $33.25 / $54.36	Professional		$25.26	$33.25	$54.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.12 / $8.61 / $12.86	Professional	26	$6.12	$8.61	$12.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.00 / $25.72 / $42.76	Professional	TC	$19.00	$25.72	$42.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.31 / $7.31 / $7.31	Facility	26	$7.31	$7.31	$7.31
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $25.73 / $25.73 / $25.73	Facility	TC	$25.73	$25.73	$25.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $36.07 / $63.28	Professional		$23.86	$36.07	$63.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.72 / $9.06 / $14.58	Professional	26	$5.72	$9.06	$14.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $28.49 / $49.98	Professional	TC	$18.19	$28.49	$49.98
United Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $31.17 / $55.38	Professional		$24.38	$31.17	$55.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.55 / $13.20	Professional	26	$6.03	$7.55	$13.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $24.11 / $42.64	Professional	TC	$18.52	$24.11	$42.64